Currently, there is no accurate screening test for ovarian cancer. The diagnostic process generally begins with a pelvic exam to check your outer genitals, pelvic structures, and uterus size for any irregularities. Based on the exam, your doctor will determine if you need an ultrasound or CT scan to get a clearer look inside your reproductive system. Next, the doctor may order a CA-125 blood test to check for blood markers of ovarian cancer.
Generally, none of these tests are conclusive, but together the results provide enough information to define the next steps.
The most definitive way to make an accurate diagnosis is to perform a biopsy of the suspected tissue and send it to the laboratory. If the cells are malignant, an MRI or PET scan will be scheduled to determine if the cancer has spread.
Armed with the results of the physical exam and tests, your physician is in the best position to create a personalized treatment plan for each patient.